Processes and changes experienced by clients during and after naturalistic good-outcome therapies conducted by experienced psychotherapists

Psychotherapy Research : Journal of the Society for Psychotherapy Research
Vidar Blokhus Ekroll, Michael Helge Rønnestad

Abstract

This study explores processes and changes experienced by clients during and after successful naturalistic therapy conducted by experienced psychotherapists. A taxonomy of content is built and presented, before the prevalence, range, and variation of process- and change categories are explored. Sixteen therapies showing reliable improvement (on OQ-45) at treatment termination and having complete follow-up data up to 3-4 years post therapy were selected for this study. Processes and changes were extracted from clients' reports of important aspects during therapy and semi-structured interviews from termination and follow-up. A procedure allowing for description, organization, and quantification of this material was developed and followed. The totality of processes and changes (36 categories) reported by clients under and after these therapies are described. The most prevalent of these were exploration and more understanding (from session reports); relational quality and ways of thinking/more understanding (from interviews at termination); therapy process continues and situational changes (from follow-up interviews). Findings suggest that the therapies in this privileged sample are operating through a broad range of processes and c...Continue Reading

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Citations

Dec 23, 2017·Clinical Psychology & Psychotherapy·Vidar Blokhus Ekroll, Michael Helge Rønnestad
Feb 6, 2020·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Melissa Miléna De SmetMattias Desmet
Jun 27, 2019·International Journal of Qualitative Studies on Health and Well-being·Josephine AndreasenSidse Arnfred

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